Thank you for your submission to Max GPS. If we are able to assist you, a member of our team will contact you as soon as possible. If you would like to expedite the process with our patient navigation team, please select the link below to respond to our intake questions.
Max GPS Patient Navigation Intake Questions
These survey questions are not a requirement to receive support from Max GPS. However, we encourage you to provide responses to all questions as it helps our Patient Navigator to understand your needs and locate resources that may be available to you depending on location, diagnosis, and other important eligibility factors.
Please be advised, any personal information you have shared with us will be governed by our HIPAA-compliant data privacy policy.
If you prefer to communicate in a language other than English, please email our team directly at maxgps@themaxfoundation.org requesting translation services. Please share your preferred language in the request.
You can also contact us by phone at 425-778-8660.